What is Barbotage or Tendon Calcification Therapy?

MIC uses Barbotage to dissolve and remove calcium that can build up on tendons (calcific tendonosis) of the rotator cuff.

During the procedure, our radiologist will use ultrasound to find the area to be treated and inject a local anesthetic. The radiologist will then use ultrasound to pass a small needle through this area attempting to break up the calcium. This allows the body to reabsorb it easier and allows the calcium to dissipate over time.

If the deposit is more liquid in nature, the radiologist will attempt to aspirate (remove) some of the calcium as well.

Lastly the radiologist injects corticosteroid into the bursal lining around the tendon to alleviate any existing inflammation.

What to expect

There is no preparation required for the exam.

The radiologist will use a local anesthetic to ‘freeze’ the skin which will sting for a few seconds.

The radiologist will repeatedly pass a small needle through this area attempting to break up the calcium. If the deposit is more liquid in nature, the radiologist will attempt to aspirate (remove) some of the calcium as well.

The radiologist will then inject corticosteroid into the bursal lining around the tendon to alleviate any existing inflammation.

You will be able to resume normal activities once you are feeling ready to do so.

Your practitioner may recommend physiotherapy after your procedure to ensure you obtain the best results.